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HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN 401k Plan overview

Plan NameHIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN
Plan identification number 503

HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover

401k Sponsoring company profile

HIGHLANDS REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:HIGHLANDS REGIONAL MEDICAL CENTER
Employer identification number (EIN):610658773
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-10-01
5032016-10-01

Plan Statistics for HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN

401k plan membership statisitcs for HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN

Measure Date Value
2017: HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01304
Total number of active participants reported on line 7a of the Form 55002017-10-01319
Total of all active and inactive participants2017-10-01319
Total participants2017-10-01319
2016: HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01336
Total number of active participants reported on line 7a of the Form 55002016-10-01304
Total of all active and inactive participants2016-10-01304
Total participants2016-10-01304

Form 5500 Responses for HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN

2017: HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – General assets of the sponsorYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – General assets of the sponsorYes
2016: HIGHLANDS REGIONAL MEDICAL CENTER WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01First time form 5500 has been submittedYes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – General assets of the sponsorYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00210620
Policy instance 1
Insurance contract or identification number00210620
Number of Individuals Covered614
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Welfare Benefit Premiums Paid to CarrierUSD $691,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 963875
Policy instance 3
Insurance contract or identification numberLK 963875
Number of Individuals Covered73
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $4,410
Total amount of fees paid to insurance companyUSD $1,116
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965598
Policy instance 2
Insurance contract or identification numberFLX965598
Number of Individuals Covered644
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $10,823
Total amount of fees paid to insurance companyUSD $2,533
Life Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY LIFE, DEPENDENT LIFE
Welfare Benefit Premiums Paid to CarrierUSD $108,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 967178
Policy instance 4
Insurance contract or identification numberOK 967178
Number of Individuals Covered382
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $600
Total amount of fees paid to insurance companyUSD $136
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $5,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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